General Description
It is possible that after a pregnancy or after losing a lot of weight it is difficult for the stomach to be flat. Sometimes, neither with sport nor with a good diet can you eliminate excess skin and abdominal fat. It is in these cases, where despite efforts no change is possible, abdominoplasty becomes a good solution. According to ISAPS, during the year 2019, 45,220 treatments of this type were performed in Mexico, ranking fifth in the most performed cosmetic surgeries after breast augmentation, liposuction, breast reduction and breast augmentation plus lift.
What is abdominoplasty?
This surgical operation, also called a lipectomy, aims to remove excess skin and fat from the middle and lower abdomen and strengthen the muscles of the abdominal wall. These cases usually occur in patients who have had weight gain and subsequent loss or in women who have had several pregnancies. With this you get a firmer, flatter abdomen and a narrower waist. This cosmetic surgery operation allows to reduce the bulging appearance of the abdomen but it must be taken into account that it leaves a scar that, depending on the surgery required to correct it, will be more or less long. The type of anesthesia to perform it may be general or local assisted by sedation, the choice will be the most appropriate for each case and will be in charge of your surgeon and the anesthesia team that works with him. Specialists recommend an abdominoplasty or a mini-abdominoplasty when the abdominal skin flaccidity would not retract in the event of abdominal liposuction. Also, when after pregnancy there is a distension of the abdominal muscles that requires correction.
Who can perform a tummy tuck?
The ideal candidates are usually men or women who have a fairly good figure but have an accumulation of fat or excess skin in the abdomen. When this area does not improve with diet or exercise, abdominal surgery is usually indicated. This surgery is usually performed on women who have had multiple pregnancies. After these, the skin and abdominal muscles can relax and not recover the initial tone. This procedure can improve:
- Diastasis abdominis
- Abdominal hernias
- The caesarean section scar
- The presence of stretch marks below the navel
It can also improve the loss of skin elasticity in older people, a situation often associated with moderate obesity. In patients who need to lose a lot of weight, it is recommended to postpone surgery. This will also happen with patients who plan to have more children since during surgery, the vertical muscles of the abdomen are tensed and can relax again. If there are previous scars in the abdomen, this surgery may be contraindicated. In other cases, it manages to eliminate the scars, but it will be the surgeon who will determine the results of each case. Abdominal surgery is not indicated in patients with excess skin (called flap or dermochalasis) or abnormalities of the abdominal wall.
How is the postoperative?
Abdominoplasty is an intense intervention, but the pain is variable and bearable. Your surgeon will prescribe painkillers and the appropriate treatment for your postoperative period. You must bear in mind that in the first days the abdomen will be swollen and you may notice discomfort that will be relieved with the medication prescribed by your surgeon. On some occasions, the patient will be in the clinic for a few days, depending on each case and what has been agreed with the specialist. When you can shower, the surgeon will tell you how to do it as well as how to change the bandages. In addition, he will recommend that you walk when you are more recovered to avoid venous thrombi. After a week, the surgeon will remove the external stitches. As for the internal stitches, up to 3 weeks may be necessary. It is essential that you wear the postoperative girdle day and night for a month as it is essential for recovery and for shaping the body. It can take a few weeks to feel like yourself again. If your physical condition before surgery is good and your abdominal muscles are strong, recovery will be faster. Moderate exercise is important as it will help reduce inflammation and tone muscles. Some people return to work in about 2 weeks, while others need 3 to 4 weeks of rest and recovery.
The abdominoplasty scar
It is important to know that there are two possible scars after the intervention:
- A suprapubic scar (above the pubis)
- A peri-umbilical scar (around the navel), in cases where the navel is transposed
The classic abdominoplasty scar is an extensive scar, but due to its design and location it is hidden with underwear or a bikini. In addition, after an initial period of 6 to 10 months in which the scar has a reddish color, its tone progressively turns white, making it less and less visible. Time is in this case our great ally and each year that passes the scar will be less evident. It is important to monitor the correct evolution with the surgeon. In addition to the professional's expertise, the patient's ability to heal is very important since not all people heal in the same way. Some patients have unaesthetic scars in the abdominal region caused by previous surgical interventions. Although it is not possible to make a scar completely disappear, its appearance can be improved with a new intervention in which the scar is removed and sutured again. These operations are normally performed under local anesthesia with or without sedation and the patient does not usually need to be admitted. The intervention usually lasts 1 hour and recovery is fast.
The results
The results are visible from the first day. The skin of the abdomen is tight, the belly is flatter and slimmer, even if it is swollen during the first few months. The first week after the operation, it is common to feel tightness and tension in the abdomen. During the first months, it is absolutely normal to also notice some numbness and swelling. Patients are generally happy with the result, which allows them to feel better in their body and have better self-esteem. The final results will be visible after a year and the scar will continue to evolve for the next two years. In most cases the results are definitive, as long as there is no pregnancy and it is accompanied by a healthy diet and physical exercise. It is recommended that at least in the first month the diet be free of dairy, spicy meat, pork and shellfish since allergies can occur and above all you have to drink a lot of water. If you are realistic with your expectations and can tolerate the presence of a permanent but concealable abdominal scar and a long recovery period, a tummy tuck may be right for you.
Frequently asked questions
- Can stretch marks be removed from the abdomen? Stretch marks are the consequence of the rupture of the elastic fibers of the dermis due to distension of the skin, such as occurs in pregnancy or in temporary gains. They are true scars and cannot be removed. However, most stretch marks are located on the skin below the skin of the navel, which is the area of the abdomen that is usually removed; therefore, after abdominoplasty, a large part of the stretch marks on the abdomen are removed.
- What happens to the navel? In abdominoplasty, the navel is detached from the skin of the abdomen and reinserted once we have performed the skin removal. This allows us to give the navel a more youthful appearance in accordance with the new shape of the abdomen, as well as correct small existing paraumbilical hernias. Depending on how much skin we can excise, the original navel hole can either be completely excised (which happens in most cases) or closed leaving a minimal and unnoticeable scar.
- Can any cosmetic be used to help scars improve? Keep in mind that the healing and final result depends on several personal factors and each skin. However, there are various cosmetic treatments that help the healing to be fast and the marks to be minimal.
- Can any cosmetic be used to help scars improve? Keep in mind that the healing and final result depends on several personal factors and each skin. However, there are various cosmetic treatments that help the healing to be fast and the marks to be minimal.
- Is the result final? The result is definitive, as long as the patient follows some guidelines and recommendations.
- How long do you have to wait after giving birth to have a tummy tuck? You have to wait about 6 months after giving birth. As a result of pregnancy and abdominal distention, the rectus abdominis muscles will separate from each other (diastasis) and therefore your abdomen will appear bulging and not flat as before. This is corrected by joining these muscles together with special sutures known as a plication. So your belly will be flatter and stronger.
- Is it recommended or can several surgeries be done at the same time? Several surgeries can be performed at the same time, such as a breast augmentation to take advantage of the postoperative process and go through it only once, but the case and the patient's conditions must always be well studied, since safety prevails above all else.
Price:
Abdominoplasty (Tummy Tuck) / Corset Surgery
$2,090 dlls (Minimum)
$4,400 dlls (Regular)
$4,950 dlls (Extended)
$5,500 dlls (Circular)
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